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| Obviously, no one has ever dare ask what you would do if forced to think outside protocol and diagnose and treat. If your so hypersensitive about explaining what it is that you would do if faced with an unknown situation, then I am sorry, I was merely inquiring about competency of Medic's operating outside their scope in reference to the original article about Medic's seeing NO as no big deal "QUITE SAFE." All the credential wanna be's like nurses trying to be doctors, medics trying to everyone and RT's being excepted to jump in on the band wagon and being asked to do medic, RN, and MD tasks is really what I was getting at. One example, a medic should not under any circumstance try to titrate Deprovan, yet they do it all the time, when does it end. Personally, I don't want to see Medics doing PTCA's or open heart surgery anytime soon.... Lighten up folks, these are serious issues that face all of us. If you take offense to my inquiry, please don't respond. I was looking for serious minded answers to my questions, not insecure babble about: "If you want to have a (lively) debate You will just have to have it with" We are the same, no better, no worse. I fly, I treat, and I save lives also. I am just blown away by the ever expanding scope of practice that seems to be on a run away train in attempts to save money, at the increased risk and possible detriment to the patient. I don't act as a medic or nurse because my training isn't in that expertise, why are so many people so confident that they can simply turn a knob on a ventilator and entrain serious and complex gases as if it were: "Actually the NO therapy is really simple And would not be to hard to learn And use it properly Really It's not rocket science" The responses to my questions are so easily overlooked by highly oversimplified statements like the aforementioned two that I have listed. I have no problem with anyone doing anything that they been proficiently trained in. The use on NO is NOT a rocket science but then again neither is ACLS, but it does require the understanding of ventilation and perfusion as well as the potential for toxicity and treatment of such. I read flightmed day after day, all I see is sour grapes and one line answers. This is the first time I have ever seen anything of substance trying to be discussed, yet my simple questions go unanswered, yet they are acknowledged by sour toned responses like: "NO Is like interhospital transfers Really not complicated Enough so That your average nurse and Doc Think they can do interhospital transfers well and safely With no further training or experience" That is my point, we should all stay within our scope of training. I would not expect for an EMT-P to be able to list all the toxcities associated with NO, (i.e. increases of methemoglobin, peroxynitrite synthesis, or impaired platelet aggregation and adheasion). I would expect anyone who states again: "Actually the NO therapy is really simple And would not be to hard to learn And use it properly Really It's not rocket science" To know how to not only identify the toxicity issues but also to treat them as well and understand how these toxicity change the effects of ventilation and PaO2. After all, when there is a complication of No therapy, one cannot just simply D/C the use and place on 100% O2, in so doing so, that would most likely kill the patient due to hypoxic hypoxia. Just ask yourself this question, if it were your loved one, would you want just anyone to transport your neo, child, or adult on NO who hasn't had the appropriate training. I would like to know from the person who wrote the following: "Actually the NO therapy is really simple And would not be to hard to learn And use it properly Really It's not rocket science" To just advise me as to what must be done when these adverse complications occur -- increases of methemoglobin, peroxynitrite synthesis, or impaired platelet aggregation and adheasion. GARY RT/EMT (dropped the P for just this reason) |